Membership Registration Form

Membership Registration Form
Name*

First NameLast Name
Email*
example@example.com
Year graduated*
Decade graduated*
Linkedin URL
Business Name
If you have a business, we would love to support you.
Personal Data Protection Act

We require your consent in accordance with the Personal Data Protection Act to comply with the PDPA's obligations for processing your personal data.
Your consent*

I consent for my personal data to collected and processed by the Association for communications, event updates and networking activities.I wish to opt out and stay anonymous in the CCSSAA directory.
Should be Empty:

Personal Data Protection Act